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HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INF MUST E COMPLETED FOR APPLICATION TO BE ACCEPTED Date: ' Permit Number: Building Permit Application Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-15S3 Fax: (772) 462-1579 Commercial Residential PERMITTYPE: PROPOSED IMPROVEMENT LOCATION: Address: Property Tax ID ##: 'PA101Y tM Site Plan Name: 1r 9 Project Name: DETAILED DESCRIPTION OF WORK: CONSTRUCTION INFORMATION: D A)e �, ) 4 d 0 1� �i y. ' 1 1 Lot No. ( Block No. Additional work to be performed under this permit— check all that apply: Mechanical ^ Gas Tank _ Gas Piping _ Shutters Electric Plumbing _ Sprinklers —Generator Total Sq. Ft of Construction: f Sq. Ft. of First Floor: — Cost of Construction: $ Utilities: _Sewer _Septic OWNER/LESSEE: CONTRACTOR: NameC. D Name: �I'!,W A Address: 1514 Company: .. W T City: State: _ Address: 3 3 � Zip Code: Fax: A City: Phone No. 51cY Zip Code: E-Mail: Phone No 7 Fill in fee simple Title Holder on next page ( if different E-Mail *Altli 4 - from the Owner listed above) State or County License if value of construction is $2500 or more, a RECORDED Notice of Commencement is required. if value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required. Windows/Doors Roof Pitch Building Height: State: Ft Fax: ?7) ` ' l/ l >- , Ill Y OC/iTff. SUPPLEMENTAL CONSTRUCTION LIEN LAIN INFORMATION: DESIGNER/ENGINEER; _ Not Applicable MORTGAGE COMPANY: Not Applicable Name: Name: Address: Address: City: State: City: State: Zip: Phone ` i Zip: Phone: FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: Not Applicable Name: Name: Address: Address: City: City: Zip: Phone: Zip: Phone: OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated. I certify that no work or installation has commenced prior to the issuance of a permit. St, Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure which is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply. In consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work in accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments. The following building permit applications are exempt from undergoing a full concurrency review: room additions, accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINASdNC, CONSULT WITH YOUR LENDER AN ATTORNEY BEF RE RECORDING YOUR NOT1C COMM CEMEN Signature of Owner/ Lessee/Contractor ent for Owner Signature of Contractor/ ce older STATE OF FLORIDA COUNTY OF1114w_ZCOUNTY STATE OF FLORIDA OF &-a') The forgoing instrument was acknowledge before me this day of ( 2OZ by The f rgoing instrument was acknowledged before me this / day of _ 204 by /6Gel AZ stir 14 f r&4 &C Name of person making statement. Name of person making statement. Personally Known /o, OR Produced Identification Personally Known OR Produced identification Type of Identification Type of Identification Produced - _ e Produced (Signature Public- StatE�_Df,fl' rid FY Na. pusBFtEF1R2g 3gym+ ra p►t A ��n �'0 (Signature of Notar ublic- State of rida oCommission sion Ndol#0943 ommis ¢ FF98G R8 Olin =�: ?a = re5 August 12, Lu19 •«t apt Fenlnw TC+9 REVIEWS FRONT COUNTER ONING REVIEW SUPERVISOR REVIEW PLANS REVIEW VEGETATION REVIEW SEA TURTLE REVIEW MANGROVE REVIEW DATE RECEIVED DATE COMPLETED ev. 2/7119 .�u:�i CERTIFIED° www.ahridlrectory.org Certificate AHRI Certified Reference Number: 7845703 Date : 06-26-2019 Model Status : Active AHRf Type: SPY -A Outdoor Unit Brand Name : LENNOX Outdoor Unit Model Number (Condenser or Single Package) - LRP14AC42P Region: All (AK, AL, AR, AZ, CA, CO, CT, DC, DE, FL, GA. H€, ID, IL, 1A, IN, KS, KY, LA, MA, MD, ME, MI, MN, MO, MS, MT, NC, ND, NE, Ni NJ, Ni NV, NY, OH, OK, OR, PA, RI, SC, SD, Ti TX, UT, VA, VT, WA, WV, WI, WY, U.S. Territories) Region Note: Central air conditioners manufactured prior to January 1, 2015 are eligible to be installed in all regions until June 30, 2016. Beginning July 1, 2016 central air conditioners can only be installed in region(s) for which they meet the regional efficiency requirement. The manufacturer of this LENNOX product is responsible for the rating of this system combination. Rated as follows in accordance with the latest edition of ANSIIAHRI 2101240 with Addenda 1 and 2, Performance Rating of Unitary Air -Conditioning & Air -Source Heat Pump Equipment and subject to rating accuracy by AHRI-sponsored, independent, third party testing: Cooling Capacity (A2) - Single or High Stage (95F), btuh : 40000 SEER: 14.00 EER (A2) - Single or High Stage (95F) : 11.00 t"Active" Model Status are those that an AHRI Certification Program Participant is currently producing AND selling or offering for sale; OR new models that are being marketed but are not yet being produced," Production Stopped" Model Status are those that an AHRI Certification Program Participant is no longer producing BUT is still selling or offering for sale. Ratings that are accompanied by WAS indicate an involunta re -rate. The new Published rating is shown along with the Previous i.e. WAS rating. DISCLAIMER AHRI does not endorse the products) listed on this Certificate and makes no representations, warranties or guarantees as to, and assumes no responsibility for, the product{s) listed on this Certificate. AHRI expressly disclaims all liability for damages of any kind arising out of the use or performance of the product(s), or the unauthorized alteration of data listed on this Certificate. Certified ratings are valid only for models and configurations listed in the directory at www.ahridirectory.org. TERMS AND CONDITIONS This Certificate and its contents are proprietary products of AHRI. This Certificate shall only be used for individual, personal and confidential reference purposes. The contents of this Certificate may not, in whale or in part, be reproduced; copied; disseminated; entered into a computer database; or otherwise utilized, in any form or manner or by any means, except for the user's individual personal and confidential reference. , A-M AlWCONDITIONING, HEATING, CERTIFICATE VERIFICATION & REFRIGERATION INSTITUTE The information for the model cited on this Certificate can be verified at www.ahrid irectory.org, click on "Verity Certificate" link and enter the AHRI Certified Reference Number and the date an which the certificate was issued, we make life hettec which is listed above, and the Certificate No., which is listed at bottom right. — -- - ©2019Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 1320604405333071�$